NPI | 1285445288 |
---|---|
Entity Type | Organization |
Authorized Contact | TARA HERMAN Owner / Office Manager 614-632-3150 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2025-01-17 |
Last Update Date | 2025-01-17 |